Sr Healthcare Technology Specialist

CitiusTech; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

Join a forward-thinking company that is at the forefront of healthcare technology innovation. As an Assistant Manager in Recruitment, you will play a pivotal role in shaping the future of healthcare by collaborating with global leaders and leveraging cutting-edge technologies. This position offers the opportunity to work in a dynamic Agile environment, where your expertise in healthcare payor systems will be essential. You will be responsible for architecting and implementing solutions that enhance healthcare delivery, while also mentoring a talented team. If you are driven by a passion for technology and a desire to make a meaningful impact, this is the perfect opportunity for you.

Benefits

Comprehensive benefits

Work-life balance

Continuous learning opportunities

Diverse work culture

Qualifications

• 12+ years of experience in healthcare technology and consulting.
• Strong understanding of US Healthcare Payor work-streams and systems.

Responsibilities

• Architect and design healthcare applications and systems.
• Mentor team members and ensure quality deliverables.

Skills

Healthcare Payor business functions

Claims management

Provider Management

Medical Management

HIPAA X12 transactions

HealthRules Configuration

Data migration

Agile methodologies

Education

Bachelor’s degree in computer science

Tools

HealthRules

Facets

Amisys

QNXT

Job description

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Asst Manager - I - Recruitment at CitiusTech

Job Description

Who we are:

At CitiusTech, we constantly strive to solve the industry's greatest challenges with technology, creativity, and agility. With over 8,500 healthcare technology professionals worldwide, CitiusTech powers healthcare digital innovation, business transformation, and industry-wide convergence for over 140 organizations through next-generation technologies, solutions, and products. We aim to accelerate the transition to a human-first, sustainable, and digital healthcare ecosystem with the world's leading Healthcare and life sciences organizations and our partners.

Here is an opportunity for you to make a difference and collaborate with global leaders to shape the future of healthcare and positively impact human lives.

Our vision:

To inspire new possibilities for the health ecosystem with technology and human ingenuity.

What is in it for you?

As a Sr. Healthcare Consultant, you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards.

Responsibilities:

• Understand Healthcare Payor business functions and IT systems
• Understanding of US Healthcare Payor work-streams including Claims, Network and Pricing, Provider Management, Medical Management, Premium Billing and Payment, Member Enrollments, Benefits Management, HIPAA X12 transactions 837I/P/D, 834, 270/271, 835
• Well versed with various lines of business - Medicaid, Medicare, commercial etc.
• Healthcare industry standards and codes usage - ICD10, HCPCS, CPT, Revenue Codes, DRG, APC and NDC
• Core Administrative Processing Systems (HealthRules, Facets, and QNXT, etc.)
• HealthRules Configuration: Set up of Benefit Plan, Network and Supplier Contracts (Pricing), Providers, Enrollment, Premium, and Account, sub-accounts, etc. Interacting with customers, internal stakeholders and other third-party vendors for requirements gathering, architecture and design discussions, development, testing and other activities
• Implement HealthRules as claims adjudication system and integration of HealthRules with existing application ecosystem
• Responsible for architecting, designing and deployment of HealthEdge HRP components in implementing a Claim administration system
• Understand HealthRules API and Connector services and can integrate HealthRules with required applications
• Support / guide data profiling and data migration from other claims systems (Facets, Amisys, QNTX, etc.) to HealthRule system
• Documentation of project deliverables and versioning
• Mentor and guide team on technology, frameworks, processes and ensure quality of deliverables
• Support testing and deployment of HRP solutions
• Architect, design, code, test and document interfaces of moderate-to-high complexity as per the requirement specifications
• Mentor and guide team on technology, frameworks, processes and ensure quality of deliverables.
• Support testing and deployment of HRP solutions

Experience:

• 12 + Years

Location:

• Remote

Educational Qualifications:

• Bachelor’s degree in computer science, information technology or a similarly relevant field is highly preferred.

Mandatory Technical skills:

Good to have skills:

• Agile, SAFe

Life at CitiusTech

We focus on building highly motivated engineering teams and thought leaders with an entrepreneurial mindset, centered on our core values of Passion, Respect, Openness, Unity, and Depth (PROUD) of knowledge. Our success lies in creating a fun, transparent, non-hierarchical, diverse work culture that focuses on continuous learning and work-life balance.

Rated by our employees as the ‘Great Place to Work’ according to the Great Place to Work survey. We offer you a comprehensive set of benefits to ensure that you have a long and rewarding career with us.

Our EVP

Be You Be Awesome is our EVP and it reflects our continuing efforts to create CitiusTech as a great place to work where our employees can thrive, both personally and professionally. It encompasses the unique benefits and opportunities we offer to support your growth, well-being, and success throughout your journey with us and beyond. Together with our clients, we are solving some of the greatest healthcare challenges and positively impacting human lives. Welcome to the world of Faster Growth, Higher Learning, and Stronger Impact.

Join CitiusTech. Be You. Be Awesome.

To learn more about CitiusTech, visit www.citiustech.com and follow us on

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Engineering and Information Technology

Industries: Hospitals and Health Care and IT Services and IT Consulting